Specialist II, Contract Operations

About the Role

The Contract Operations Specialist role is a high-impact position that requires significant autonomy, critical thinking, and problem-solving skills. The successful candidate will be able to navigate complex contract language, resolve network issues, and provide guidance on rate implementation. With a focus on data integrity and reporting, this role is perfect for professionals who are detail-oriented and have a strong understanding of contract management principles.

What You Will Do

• Manage high-volume contract reviews with regards to Best Demonstrated Performance language, checklists, codes, rates, and credentialing operational language
• Resolve complex network and claims issues by collaborating with Credentialing Specialists and Negotiation teams
• Analyze root causes of delays or denials using tools such as the A3 worksheet format
• Assess complex situations and communicate effectively to leadership using the SBAR (Situation, Background, Assessment, Recommendation) format
• Maintain accurate data across multiple systems (Orion, CLM, COR, Salesforce, and IBM-based data systems)
• Provide data for weekly reports, including task categories, email volume, out of SLA task assistance, and escalation tracking
• Build and maintain strong professional relationships with external payor contacts to facilitate efficient processing
• Collaborate with internal 'Partners' to proactively resolve account issues
• Manage an extremely high volume of work, including maintaining email inbox counts below 40 and responding to requests within 1-2 business days
• Prioritize tasks based on risk and value (e.g., Fee For Service Agreements, Document Reviews, Facility Status Requests, New Center Additions, Acquisitions)

What We Are Looking For

• High school diploma or equivalent required; Associate’s or Bachelor’s degree preferred
• Minimum 2 years of experience in high-volume research, Customer Accounts ownership, or complex administrative roles
• Strong analytical and problem-solving skills
• Excellent communication and interpersonal skills
• Ability to work independently with significant autonomy
• Strong understanding of contract management principles and data integrity
• Experience with Salesforce and Excel
• Ability to navigate multiple systems and databases

Nice to Have

• Experience in the healthcare industry
• Knowledge of credentialing and contract management software
• Certification in contract management or a related field

Benefits and Perks

• Competitive salary and benefits package
• Opportunity to work with a leading healthcare company
• Remote work arrangement with flexible scheduling
• Professional development and growth opportunities
• Access to cutting-edge technology and tools
• Collaborative and dynamic work environment

• Ensure you have a strong foundation in Salesforce and Excel, as these skills are essential for success in this role
• Develop a portfolio that showcases your contract management experience and data analysis skills
• Be prepared to provide specific examples of how you have resolved complex network and claims issues in previous roles
• Research DaVita Kidney Care's company culture and values to understand their approach to contract operations and healthcare
• Practice your critical thinking and problem-solving skills, as these will be heavily assessed during the interview process
• Don't be afraid to ask about the company's approach to professional development and growth opportunities during the interview